Laparoscopic approach in emergency for the treatment of acute incarcerated groin hernia: a systematic review and meta-analysis

Sartori, Alberto; Balla, Andrea; Botteri, Emanuele; Scolari, F.; Podda, Mauro; Lepiane, Pasquale; Guerrieri, Mario; Morales-Conde, Salvador; Szold, Amir; Ortenzi, Monica

doi:10.1007/s10029-022-02631-9

Cited by 19 publications

(17 citation statements)

References 44 publications

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“…In a recent meta‐analysis on laparoscopic treatment of acute incarcerated inguinal hernia, minimally‐invasive repair was found to be a better option compared to open surgery in terms of length of hospital stay and postoperative complications in hemodynamically stable patients without peritonitis 17 . In our analysis, we found a shorter length of hospital stay in the R‐TAPP group in both the overall and the PSM analyses, although it did not reach statistical significance.…”

Section: Discussioncontrasting

confidence: 65%

Safety and feasibility of emergency robot‐assisted transabdominal preperitoneal repair for the treatment of incarcerated inguinal hernia: A retrospective study

Murgante Testa,

Mongelli,

Sabbatini

et al. 2024

World j. surg.

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BackgroundFew studies assessed robotic in emergency setting and no solid evidence was demonstrated. The aim of this study was to evaluate the feasibility and safety of robot‐assisted transabdominal preperitoneal (R‐TAPP) repair for the treatment of incarcerated inguinal hernia.MethodsWe retrospectively searched from a prospectively maintained database patients who underwent R‐TAPP or open surgery for incarcerated inguinal hernias from January 2018 to March 2023. The primary endpoint was to assess safety and feasibility of the R‐TAPP compared to the standard approach. For eligible patients, data was extracted and analyzed using a propensity score‐matching (PSM).ResultsThirty‐four patients were retrieved from our database, 15 underwent R‐TAPP, while 19 underwent open surgery. Mean age was 73.1 ± 14.6 years, 30 patients (88.2%) were male and mean BMI was 23.5 ± 3.2 kg/m2. No intraoperative complication occurred. Three cases requiring small bowel resection were all in the open surgery group (p = 0.112). The operative time was 108 ± 31 min versus 112 ± 31 min in the R‐TAPP and open surgery groups (p = 0.716). Seven postoperative complications occurred, only one classified as severe was in the open surgery group. The length of hospital stay was 2.9 ± 1.8 in the R‐TAPP versus 4.2 ± 2.3 min in the open surgery group (p = 0.077). PSM analysis showed similar postoperative outcomes and costs in both groups.ConclusionsDespite its limitations, our study appears to endorse the safety and feasibility of the robotic‐assisted treatment for incarcerated inguinal hernia. This approach yielded comparable results to open surgery, albeit in a limited number of patients, suggesting it might be a viable alternative.

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Section: Discussioncontrasting

confidence: 65%

Safety and feasibility of emergency robot‐assisted transabdominal preperitoneal repair for the treatment of incarcerated inguinal hernia: A retrospective study

Murgante Testa,

Mongelli,

Sabbatini

et al. 2024

World j. surg.

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“…As previously mentioned, to our knowledge, the highest quality study currently published is the systematic review and meta-analysis of Sartori et al [ 9 ]. Fifteen articles were included comparing minimally invasive vs. open approaches in emergency groin hernia.…”

Section: Discussionmentioning

confidence: 99%

“…There are a few publications defending the advantages of laparoscopic repairs but most of them are based on low evidence studies (retrospective case series or retrospective cohort studies). To our knowledge, only one recent systematic review has provided strong information on these minimally invasive advantages in emergent inguinal hernia repair, reporting a shorter surgical time, shorter hospital stays, and lower surgical site infection rate with a similar recurrence rate [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic vs. Open Approach in Emergent Inguinal Hernia: Our Experience and Review of Literature

Moreno‐Suero

Tallón-Aguilar

Tinoco-González

et al. 2023

J. Abdom. Wall Surg.

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There is currently no consensus or homogeneous recommendation about the role of the laparoscopic approach in emergent inguinal hernia surgery. The aim of this manuscript is showing our experience and results of laparoscopic approach for emergent groin hernia repair comparing with open approach. A retrospective review of a prospectively maintained database between January 2011 and December 2021 of acute incarcerated groin hernia that were operated at Virgen del Rocio University Hospital. In this period, they were identified 463 patients with groin hernia that required an emergency repair. 454 patients underwent open surgery (group 1) and 36 patients underwent laparoscopic approach (TAPP procedure) (group 2). Median length stay was 1 day in lap group and 2 days in open approach. Reintervention was necessary in 20 cases (4.40%) from group 1 and one (2.27%) from group 2. In laparoscopic approach, no mortality was described but in open approach, 10 patients (2.20%) died. Globally, 58 cases (12.77%) from group 1 and six patients (16.66%) from group 2 presented any complication. Wound infection was higher in group of open repairs (5.94% vs. 2.77%). Non-surgical complications were higher in open approach (19 vs. 0). There is no statistical significance in any of these items. Laparoscopic approach is a safe, feasible and effective therapeutic option for the treatment of incarcerated groin hernia that require emergency surgery, but prospective and randomized comparative studies are needed to establish the best approach.

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“…By evaluating the Italian experience and by performing several literature reviews, 7 we have noticed that more than a few issues need to be addressed.…”

Section: To the Editormentioning

confidence: 99%

Another Brick in the Wall

Montori

Botteri

Sartori

et al. 2023

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Laparoscopic approach in emergency for the treatment of acute incarcerated groin hernia: a systematic review and meta-analysis

Cited by 19 publications

References 44 publications

Safety and feasibility of emergency robot‐assisted transabdominal preperitoneal repair for the treatment of incarcerated inguinal hernia: A retrospective study

Safety and feasibility of emergency robot‐assisted transabdominal preperitoneal repair for the treatment of incarcerated inguinal hernia: A retrospective study

Laparoscopic vs. Open Approach in Emergent Inguinal Hernia: Our Experience and Review of Literature

Another Brick in the Wall

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